BARODA TOWNSHIP
Application for Off-site Advertising Sign (Seasonal only, Ag District Only)
PERMIT #						DATE
Applicant:		Name
		Address
		Phone
Sign Location:
Property Owner:		Name
		Address
		Phone
Permission Signature of Property Owner for Sign Placement:
		Signature						Date
Having received a copy of the Baroda Township's Sign Ordinance on Directional signs,
I hereby agree to comply with said ordinance.
		Signature						Date
Fee Each Sign:		$25.00
Paid: